Simple Reshaping of the Breast in Massive Weight Loss Patients

Ikander, Peder; Gad, Dorte; Gunnarsson, Gudjon Leifur; Boljanovic, Slaven; Salzberg, Andrew; Sørensen, Jens Ahm; Thomsen, Jørn Bo

doi:10.1097/sap.0000000000000816

Cited by 9 publications

(11 citation statements)

References 11 publications

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Section: Discussionmentioning

confidence: 99%

“…Breast reshaping in postbariatric patients is a challenge based on the complexity and the variability in the anatomy of the weight loss breasts and on the real expectations of the patients 7. Satisfactory volume reduction and lifting of the nipple-areola complex are the primary goals of the operation, along with creating an aesthetically pleasing breast shape and a viable and sensitiveF I G U R E 1 Preoperative markings [Color figure can be viewed at wileyonlinelibrary.com] F I G U R E 2 A, A 38-year-old patient with a 40-kg weight loss after sleeve gastrectomy presented for breast reshaping.…”

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The medial‐central septum based mammaplasty: A reliable technique to preserve nipple‐areola complex sensitivity in post bariatric patients

et al. 2019

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Introduction Massive weight loss is associated with the ptosis of the breast, loss of the upper pole fullness, medialization of the nipples and volume depletion. Post bariatric patients often need breast reshaping with mastopexy or breast reduction. We report the author's experience with the medial central septum based mammoplasty for breast reshaping after massive weight loss. Methods We retrospectively reviewed the records of 85 women who underwent a medial‐central septum based mammaplasty, analyzing patients (age, BMI, comorbidities) and operation specific characteristics’ (surgical technique, complications) to identify the advantages and the drawbacks of the adopted technique. All the procedures were performed at a single institution by the senior author of this article. Results 85 patients were included in the review, in total 170 medial‐central septum based mammaplasty were performed over a five years period. Early complications, as hematoma and seroma occurred in 2 patients. No total or partial nipple‐areola losses were recorded and the viability of the nipple‐areola complex (NAC) was excellent in all the treated patients. Sensation was retained in all breasts. Nine patients showed delayed wound healing at the joint of the T scar; in 5 patients we observed spreading scars. Conclusion The medial‐central septum based mammaplasty seems to be an effective and safe choice for breast reshaping after massive weight loss, as none of our patients experienced nipple loss and all of them reported good nipple sensation. Moreover, the technique is versatile and can be applied to patients with hypertrophic breasts or gigantomastia.

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Section: Discussionmentioning

confidence: 99%

mentioning

confidence: 99%

The medial‐central septum based mammaplasty: A reliable technique to preserve nipple‐areola complex sensitivity in post bariatric patients

et al. 2019

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“…In In der vorgestellten Arbeit wurden 68 Patientinnen in einem Zeitraum von 01/2011 bis 12/2016 inkludiert. Sowohl das durchschnittliche Alter mit 41,2 Jahren als auch der BMI mit im Mittel bei 27,1 kg/ m 2 und die Verweildauer von durchschnittlich 4 Tagen zeigen sich konform mit den in der Literatur angegebenen Daten [23][24][25][26].…”

Section: Diskussionunclassified

“…Vorliegend findet sich im Vergleich mit der Literatur eine sehr hohe Fallzahl (136 Brüste). Des Weiteren liegt die Komplikationsrate deutlich unter dem Durchschnitt der in der Literatur zu findenden Ergebnisse, bei denen Komplikationsraten von 8,8 -42 % beschrieben sind [1,5,8,[23][24][25][26]. Ebenso liegt die Operationszeit mit 109 Minuten unter dem in der Literatur zu findenden Durchschnitt von circa 3 Stunden [5,8,12].…”

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Mastopexie nach massivem Gewichtsverlust – Erweiterte Ribeiro-Technik und Einsatz der lateralen Interkostalarterien-Perforatorlappenplastik (LICAP-Flap) zur Autoaugmentation

Wolter¹,

Scholz²,

Pluto³

et al. 2017

Handchir Mikrochir plast Chir

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Modification of the Ribeiro technique by using the medial and lateral breast pillar (LICAP flap) allows autoaugmentation of the upper pole. Parenchymal shaping through plication and suspension of the breast mound should improve breast shape over time, with the aim of reducing the incidence of recurrent ptosis. The presented technique is a reproducible and reliable method with a low complication rate.

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MWL and Post Bariatric Surgery Patients: The Role of Fat Grafting and Regenerative Surgery

Gunnarsson,

Thomsen

2022

Plastic and Aesthetic Regenerative Surgery and Fat Grafting

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Simple Reshaping of the Breast in Massive Weight Loss Patients

Abstract: The LOPOSAM technique is quick and simple to perform, and the preliminary results are promising. However, a longer follow-up is needed to confirm this.

Cited by 9 publications

References 11 publications

The medial‐central septum based mammaplasty: A reliable technique to preserve nipple‐areola complex sensitivity in post bariatric patients

The medial‐central septum based mammaplasty: A reliable technique to preserve nipple‐areola complex sensitivity in post bariatric patients

Mastopexie nach massivem Gewichtsverlust – Erweiterte Ribeiro-Technik und Einsatz der lateralen Interkostalarterien-Perforatorlappenplastik (LICAP-Flap) zur Autoaugmentation

MWL and Post Bariatric Surgery Patients: The Role of Fat Grafting and Regenerative Surgery

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